Additionally, antihistamines can be used to help with any itching. If the child is experiencing fever, headache or joint pain they can be treated with paracetamol and ibuprofen. This often has a raised, lace-like appearance and may be itchy, clearing spontaneously within a few days.Ĭhildren should be encouraged to rest and drink plenty of fluids, and babies should continue their normal feeds It often causes a bright red rash on one or both cheeks, and usually clears up by itself in one to three weeks.Ī light pink erythematous, macular rash may also appear on the chest, stomach, arms and thighs Slapped cheek syndrome is caused by parvovirus B19. Other symptoms can also include low-grade fever, runny nose, sore throat, headache, upset stomach and generally feeling unwell The defining feature is a bright red rash on one or both cheeks, often with an accompanying paleness around the mouth Patients usually develop symptoms 4–14 days post-infection, but sometimes these may not appear for up to 21 days. Infection is also seasonal, with increases observed in spring and early summer, and additional increases in incidence occurring every 3–4 years
Infection is most common in children, although it can occur in people of any age Slapped cheek syndrome (also called fifth disease or erythema infectiosum) is caused by parvovirus B19. This article describes a range of rashes in paediatric patients, according to a step-by-step approach to the classification and identification of the rash. Skin rashes in children require careful history taking, assessment and examination of the skin. School children visit the GP between two and three times a year, but this figure is doubled in the under-fives who visit the GP an average of six times a year Patients aged under 15 years comprise around 20% of the average GP list and account for one in four GP consultations. If the rash is accompanied by high fever, breathing difficulties, vomiting or reduced general health, it may be indicative of something more serious. If a child is in good health and has no other symptoms, simple observation of the rash over the following few days may be sufficient and the rash should disappear without need for significant treatment. Journal of Pharmaceutical Health Services ResearchĬhildhood rashes are common - most are harmless and no cause for concern, and disappear without the need for treatment.International Journal of Pharmacy Practice.
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